First Primary Care

Membership costs $125 per month per person, plus a one-time $99 enrollment fee. There are no copays, no deductibles, and no long-term contracts. First Primary Care also offers a 30-day money-back guarantee, and members can cancel at any time without a fee.

The membership covers unlimited in-person and virtual visits, free generic prescription medications with mail delivery, free maintenance labs with biomarker analysis, free in-office minor procedures, free EKG tests, and mental health support. Members also receive discounted rates on additional lab work and imaging. There are no extra charges for routine care.

Prospective members request an invitation through the First Primary Care website. After enrollment, members pay the one-time $99 fee and begin their $125 monthly membership. The practice accepts new members on an ongoing basis across its locations and virtual platform.

No. First Primary Care operates outside of insurance billing. Members pay a flat monthly fee and receive care without copays, deductibles, or surprise bills. The practice recommends pairing membership with a low-cost catastrophic insurance plan or a medical cost-sharing program like Sedera for coverage of hospitalizations or specialist care.

Yes. Members access telehealth through the Spruce Health app via video, phone, or secure text. The virtual care team handles same-day appointments and ongoing primary care. First Primary Care also offers virtual-only memberships available in more than 30 states for patients outside its physical locations.

Initial appointments run approximately 45 minutes. The practice offers same-day and next-day scheduling, and members never share waiting room time. Ongoing visits take as long as needed, and members can also reach their care team outside of formal appointments through the Spruce Health app.

First Primary Care has in-person locations in Spring Branch (Houston), Cypress, Sugar Land, The Woodlands, and Pasadena in Texas, plus Dallas-Arlington, Shreveport, and New Albany, Ohio. The practice also offers virtual memberships in more than 30 states for patients who prefer remote care.

Yes. First Primary Care works with self-funded employers and has partnered with companies to subsidize memberships for employees and dependents. One employer partner covered 80% of membership costs for employees and 50% for dependents. The practice also pairs well with medical cost-sharing programs like Sedera.

In the Houston market, each physician caps their panel at 600 members. This limit allows doctors to offer same-day access, longer visits, and direct communication with every patient. Smaller panels mean members spend meaningful time with their physician at each visit.

Yes. The membership includes free generic medications from a formulary of over 1,500 drugs, with mail delivery available. Members also receive discounted rates on brand-name or non-formulary medications. This pharmacy program reduces out-of-pocket costs significantly for patients managing chronic conditions.